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General NPI Number Information
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NPI Number | 1730757808
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Entity Type | Individual
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Provider Name | TARNEISHA WILLIAMS NP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1862 CANDLER RD
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City | DECATUR
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State | GA
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Zip | 30032-4163
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Country | US
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Telephone | 404-289-4556
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Fax | 404-478-2779
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Provider Business Mailing Address
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Address Line | 130 SHAKER HOLLOW DR
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City | MCDONOUGH
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State | GA
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Zip | 30253-7590
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Country | US
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Telephone | 478-320-3157
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN235977
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN239577
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN235977
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN235977
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License Number State | GA
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